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影像引导下的靶向前列腺活检术。

Image-Guided Targeted Prostate Biopsies.

机构信息

Department of Radiology, University of Utah/Huntsman Cancer Institute, Salt Lake City, UT.

Department of Surgery, Division of Urology, University of Utah/Huntsman Cancer Institute, Salt Lake City, UT.

出版信息

Tech Vasc Interv Radiol. 2021 Dec;24(4):100777. doi: 10.1016/j.tvir.2021.100777. Epub 2021 Sep 28.

DOI:10.1016/j.tvir.2021.100777
PMID:34895703
Abstract

Prostate cancer is the second most common cancer in the United States. Screening for prostate cancer has increased through the usage of prostate specific antigen and biopsies. Traditionally, prostate biopsies are done using transrectal ultrasound with 10-12 cores obtained in a sextant pattern. Advances in prostate imaging with multiparametric magnetic resonance imaging has led to image guided targeted prostate biopsies. This can be done with cognitive fusion, MRI-fusion, and in-bore MRI. This article will review the indications, techniques, and outcomes for targeted image guided prostate biopsies using in-bore MRI and MRI fusion.

摘要

前列腺癌是美国第二大常见癌症。通过使用前列腺特异性抗原和活检,前列腺癌的筛查有所增加。传统上,前列腺活检是通过直肠超声进行的,在六分区模式下获得 10-12 个核心。随着多参数磁共振成像在前列腺成像方面的进步,已经实现了图像引导的靶向前列腺活检。这可以通过认知融合、MRI 融合和腔内 MRI 来完成。本文将回顾使用腔内 MRI 和 MRI 融合进行靶向图像引导前列腺活检的适应证、技术和结果。

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1
Image-Guided Targeted Prostate Biopsies.影像引导下的靶向前列腺活检术。
Tech Vasc Interv Radiol. 2021 Dec;24(4):100777. doi: 10.1016/j.tvir.2021.100777. Epub 2021 Sep 28.
2
Critical evaluation of magnetic resonance imaging targeted, transrectal ultrasound guided transperineal fusion biopsy for detection of prostate cancer.磁共振成像靶向、经直肠超声引导经会阴融合活检检测前列腺癌的评价。
J Urol. 2013 Oct;190(4):1380-6. doi: 10.1016/j.juro.2013.04.043. Epub 2013 Apr 19.
3
Magnetic Resonance Imaging-guided In-bore and Magnetic Resonance Imaging-transrectal Ultrasound Fusion Targeted Prostate Biopsies: An Adjusted Comparison of Clinically Significant Prostate Cancer Detection Rate.磁共振成像引导腔内和磁共振成像经直肠超声融合靶向前列腺活检:临床显著前列腺癌检出率的调整比较。
Eur Urol Oncol. 2019 Jul;2(4):397-404. doi: 10.1016/j.euo.2018.08.022. Epub 2018 Sep 20.
4
Prospective randomized trial comparing magnetic resonance imaging (MRI)-guided in-bore biopsy to MRI-ultrasound fusion and transrectal ultrasound-guided prostate biopsy in patients with prior negative biopsies.前瞻性随机临床试验比较了磁共振成像(MRI)引导的腔内活检与 MRI-超声融合和经直肠超声引导的前列腺活检在先前阴性活检患者中的应用。
Eur Urol. 2015 Oct;68(4):713-20. doi: 10.1016/j.eururo.2015.06.008. Epub 2015 Jun 23.
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Prospective evaluation of magnetic resonance imaging guided in-bore prostate biopsy versus systematic transrectal ultrasound guided prostate biopsy in biopsy naïve men with elevated prostate specific antigen.对前列腺特异性抗原升高的初诊男性患者,磁共振成像引导下的孔内前列腺活检与系统经直肠超声引导下前列腺活检的前瞻性评估。
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Detection of significant prostate cancer with magnetic resonance targeted biopsies--should transrectal ultrasound-magnetic resonance imaging fusion guided biopsies alone be a standard of care?磁共振靶向活检检测显著前列腺癌——经直肠超声-磁共振成像融合引导活检是否应单独成为一种标准的护理方法?
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18F-Choline PET/MRI: The Additional Value of PET for MRI-Guided Transrectal Prostate Biopsies.18F-胆碱正电子发射断层扫描/磁共振成像:正电子发射断层扫描在磁共振成像引导经直肠前列腺活检中的附加价值
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Current status of magnetic resonance imaging (MRI) and ultrasonography fusion software platforms for guidance of prostate biopsies.磁共振成像(MRI)和超声融合软件平台在前列腺活检引导中的应用现状。
BJU Int. 2014 Nov;114(5):641-52. doi: 10.1111/bju.12593. Epub 2014 May 22.
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Reduced Core Targeted (RCT) biopsy: Combining multiparametric magnetic resonance imaging - transrectal ultrasound fusion targeted biopsy with laterally-directed sextant biopsies - An alternative template for prostate fusion biopsy.减少核心靶向 (RCT) 活检:将多参数磁共振成像 - 经直肠超声融合靶向活检与侧向定向六分法活检相结合 - 前列腺融合活检的替代模板。
Eur J Radiol. 2019 Jan;110:7-13. doi: 10.1016/j.ejrad.2018.11.006. Epub 2018 Nov 14.
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Are Magnetic Resonance Imaging-Transrectal Ultrasound Guided Targeted Biopsies Noninferior to Transrectal Ultrasound Guided Systematic Biopsies for the Detection of Prostate Cancer?磁共振成像-经直肠超声引导下靶向活检与经直肠超声引导下系统活检诊断前列腺癌的非劣效性研究
J Urol. 2016 Oct;196(4):1069-75. doi: 10.1016/j.juro.2016.04.003. Epub 2016 Apr 12.

引用本文的文献

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Prostate cancer detection with transrectal in-bore MRI biopsies: impact of prostate volume and lesion features.经直肠腔内磁共振成像活检检测前列腺癌:前列腺体积和病变特征的影响
Insights Imaging. 2025 Mar 23;16(1):69. doi: 10.1186/s13244-025-01942-6.
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Real-Time MRI-Guided Prostate Interventions.实时磁共振成像引导下的前列腺介入治疗
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